Rhett Marvin Quist, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8040 Issued in CO

Practice address

6160 Tutt Blvd
Suite 250
Colorado Springs, CO 80923-3500

Phone

(719) 359-8652

Fax

(719) 623-5771

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 19, 2015 through Mar 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1942351549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD",
            "address_2": "SUITE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233500",
            "telephone_number": "719-359-8652",
            "fax_number": "719-623-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD",
            "address_2": "SUITE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233500",
            "telephone_number": "719-359-8652",
            "fax_number": "719-623-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIST",
        "first_name": "RHETT",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "8040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18236324",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Quintero Cole
• Stefanie P Quirk, A.C.N.P.
• Josue Manuel Quiroga, LPC
• Virginia M Quiroz, NP
• Amy Elizabeth Quist
• Joyce Ventura Quitugua, NP
• R. Asher Henegar DDS
• Sophie Raab, RBT
• Olivia Dujuan Raban, DO
• Cody Rabideau, BCBA

• Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.